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1316166531
ALICE KIM
PROVIDENCE, RI
NPI
1316166531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: RI LP00500)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
-- ALICE KIM
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8450
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Mailing Address
-- ALICE KIM
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8450
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